| NPI | 1487782918 |
|---|---|
| Former Name | GENEVIEVE LYNN CHARLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 25003) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 17429) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-09-27 |