NPI | 1770102733 |
---|---|
Former Name | JANNA MARIE SCHRIBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2441) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-62412) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2023-08-09 |