NPI | 1285932889 |
---|---|
Former Name | VERONICA CARLOTTA COBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT32740) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PT32740) |
Enumeration Date | 2011-03-05 |
Last Update Date | 2025-01-23 |