| 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 |