NPI | 1770206161 |
---|---|
Former Name | LINDSEY R FISCHENICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14686) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 8034) |
Enumeration Date | 2022-09-21 |
Last Update Date | 2024-03-11 |