| NPI | 1598190746 |
|---|---|
| Former Name | VALJEANNE PATRICE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14414) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2018-08-13 |