NPI | 1699178970 |
---|---|
Former Name | NATACHA ROMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16311) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178010215) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2019-07-01 |