| NPI | 1639624828 |
|---|---|
| Former Name | SVETLANA NIKOLAYEVNA ANOKHINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH14641) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2019-07-22 |