| 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 |