| NPI | 1811023310 |
|---|---|
| Former Name | GARNETT L DITTFURTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4251) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C4251) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-11-29 |