NPI | 1043553191 |
---|---|
Former Name | KIRA MAY CAPANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 13486) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 9139) |
101YP2500X Counselor, Professional (Licence: NC A9139) | |
Enumeration Date | 2013-03-27 |
Last Update Date | 2022-07-21 |