NPI | 1811754807 |
---|---|
Former Name | EVE MARIE FARIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP6726) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP6726) |
Enumeration Date | 2024-03-05 |
Last Update Date | 2024-03-05 |