NPI | 1902395544 |
---|---|
Former Name | AMY KRICHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013802) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.005789) |
101YM0800X Counselor, Mental Health (Licence: IL 178.005789) | |
Enumeration Date | 2018-05-09 |
Last Update Date | 2021-08-20 |