NPI | 1851913800 |
---|---|
Former Name | HEATHER MAE PRASSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NE 1116) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 5761) |
Enumeration Date | 2020-05-13 |
Last Update Date | 2023-03-03 |