NPI | 1780170811 |
---|---|
Former Name | GALINA KOLESOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 90425) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 90425) |
Enumeration Date | 2018-07-01 |
Last Update Date | 2024-03-04 |