NPI | 1508532466 |
---|---|
Former Name | ANNA FRANCES GOOSE |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC11952) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC11952) |
Enumeration Date | 2021-08-20 |
Last Update Date | 2024-07-15 |