NPI | 1811379480 |
---|---|
Former Name | KA RIN KAY MENTZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L7907) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7907) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2022-07-15 |