NPI | 1497917967 |
---|---|
Former Name | CYNTHIA R HARRAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 29889) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 23260) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2020-05-20 |