NPI | 1588966808 |
---|---|
Former Name | CYNTHIA BAEMI BOCANEGRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10506) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH10506) |
Enumeration Date | 2010-11-18 |
Last Update Date | 2010-11-18 |