NPI | 1881122745 |
---|---|
Former Name | EMILY ELIZABETH BALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2017-05-23 |
Last Update Date | 2019-03-07 |