NPI | 1730599341 |
---|---|
Former Name | WINDY J ROTTENBUCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 075547) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10235) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2016-12-21 |