| NPI | 1770185209 |
|---|---|
| Other Name | CYNTHIA LELAND FONDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18724) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2023-12-18 |