| NPI | 1295341121 |
|---|---|
| Other Name | LARISA IVANOVNA DOVBUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 8105) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 140018) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-07-21 |