NPI | 1598165821 |
---|---|
Former Name | JANNA MARIE FABRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 99932) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF76002) |
Enumeration Date | 2014-08-22 |
Last Update Date | 2018-03-21 |