NPI | 1730728783 |
---|---|
Former Name | EVELYN WENNINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 14315) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 14315) |
Enumeration Date | 2019-12-21 |
Last Update Date | 2023-07-28 |