| NPI | 1871158410 |
|---|---|
| Former Name | THERESA E. SIEBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 10939) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 20407) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2025-05-14 |