NPI | 1225697360 |
---|---|
Former Name | ROBIN COULOMBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4054) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4054-226) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2024-07-09 |