NPI | 1508473828 |
---|---|
Former Name | OLGA GERASIMENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY35887) |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist (Licence: CA PSY35887) | |
103TC1900X Psychologist, Counseling (Licence: CA PSY35887) | |
Enumeration Date | 2020-09-30 |
Last Update Date | 2025-06-16 |