NPI | 1700233475 |
---|---|
Former Name | AMY EILEEN TOLZMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2016-05-23 |
Last Update Date | 2024-02-19 |