NPI | 1780100826 |
---|---|
Former Name | REBECCA A SERRANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61049684) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-08-21 |
Last Update Date | 2025-04-29 |