Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 5292 | LA |
NPI | 1003195397 |
---|---|
Provider Name | Shelia Wiltz Frey |
First Address | New Orleans, LA 70117-3040 |
Second Address | New Orleans, LA 70127-1913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2011 |
Last Update Date | 08/01/2019 |