NPI | 1043725518 |
---|---|
Former Name | CARRIE ANN CUETO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 111543) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 00002228) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2024-05-06 |