NPI | 1942593124 |
---|---|
Former Name | TAISIYA LARINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0097993) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2011-05-23 |
Last Update Date | 2024-07-24 |