NPI | 1740647569 |
---|---|
Former Name | SERENA DION FORWARD-RODRIGUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60913081) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60913081) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2024-12-11 |