NPI | 1639692700 |
---|---|
Former Name | CLAIRE FAJARDO HERB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3371) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3371) |
Enumeration Date | 2017-07-20 |
Last Update Date | 2025-05-06 |