NPI | 1396139804 |
---|---|
Former Name | AIRA SAMANTHA MARI CHING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 102906) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83028) |
Enumeration Date | 2015-03-23 |
Last Update Date | 2023-07-22 |