NPI | 1619136116 |
---|---|
Former Name | CYNTHIA C GERARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5316) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2008-06-09 |
Last Update Date | 2020-01-07 |