NPI | 1447485859 |
---|---|
Former Name | AVIANCE ALEATA RHOME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 28931) |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor Professional | |
101YS0200X Counselor School | |
106H00000X Marriage & Family Therapist | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2009-05-29 |
Last Update Date | 2022-07-21 |