| NPI | 1427210277 |
|---|---|
| Former Name | JOSEPHINE GENCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA lmft78322) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF58301) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2014-02-19 |