| NPI | 1871305797 |
|---|---|
| Former Name | KERRI KARMEN PATRICK WERTZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC7066) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC7066) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |