NPI | 1356637789 |
---|---|
Former Name | ARLENE BAGAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 2587) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 12) |
Enumeration Date | 2011-06-23 |
Last Update Date | 2024-07-30 |