NPI | 1205569498 |
---|---|
Former Name | SOMMER ROSE VADEBONCOEUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2305037) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103554-TRNE) |
Enumeration Date | 2022-07-05 |
Last Update Date | 2023-04-24 |