| NPI | 1942855408 |
|---|---|
| Former Name | EMILY ANN GROTEBOER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc02555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2021-01-07 |