NPI | 1285723668 |
---|---|
Former Name | CONNIE COBIELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY4032) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA PY0004032) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2023-08-06 |