NPI | 1891123352 |
---|---|
Former Name | KAREN ORTEGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 8122) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT LAC-LAC-LIC-3382) |
101YP2500X Counselor, Professional (Licence: MT SWP-LCPC-LIC-8122) | |
101YS0200X Counselor, School (Licence: MT 112095) | |
Enumeration Date | 2013-10-21 |
Last Update Date | 2024-01-17 |