NPI | 1700210366 |
---|---|
Former Name | JOANNE M COSMOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF82282) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 3058) |
Enumeration Date | 2013-08-30 |
Last Update Date | 2014-09-17 |