NPI | 1801120373 |
---|---|
Former Name | LINDSEY NEBLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11260) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH7611) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2009-09-30 |
Last Update Date | 2017-01-04 |