NPI | 1730429515 |
---|---|
Former Name | AMY MEITUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014649) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0014649) |
Enumeration Date | 2013-02-15 |
Last Update Date | 2024-09-09 |