NPI | 1700037736 |
---|---|
Former Name | SANDRA BIRKELBACH LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH9675) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2360) |
Enumeration Date | 2008-10-08 |
Last Update Date | 2024-06-18 |