NPI | 1104013275 |
---|---|
Former Name | JOHANNA HELENE PAILLET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 79779) |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker (Licence: CA 79779) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 79779) | |
Enumeration Date | 2007-10-02 |
Last Update Date | 2024-10-18 |