NPI | 1700111523 |
---|---|
Former Name | GENEVIEVE FRASER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-10-13 |
Last Update Date | 2016-04-01 |