| 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 |