NPI | 1376057851 |
---|---|
Other Name | CAITLIN MANCHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-18965) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-16986) |
Enumeration Date | 2017-11-20 |
Last Update Date | 2024-10-09 |