| NPI | 1932524493 |
|---|---|
| Former Name | ELISE VAN GALEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 12925) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2022-03-10 |