NPI | 1790106565 |
---|---|
Former Name | ANDREA SCHARLATT RAICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1512) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MN 1512) |
101YP2500X Counselor, Professional (Licence: MN 1512) | |
Enumeration Date | 2013-12-22 |
Last Update Date | 2023-01-12 |