NPI | 1306257712 |
---|---|
Former Name | CIARA M RODRIGUES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-498) |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2014-05-20 |
Last Update Date | 2022-06-08 |