NPI | 1598029803 |
---|---|
Former Name | DARICE MARIE ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15867) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC5833) |
Enumeration Date | 2012-07-02 |
Last Update Date | 2024-03-04 |