NPI | 1932710647 |
---|---|
Former Name | ALLYCE CHRISTINE CARNERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 8584) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-08-14 |
Last Update Date | 2020-10-14 |