| NPI | 1588863229 |
|---|---|
| Former Name | DIANE CELIA ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 45269) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 45269) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |