| NPI | 1013244334 |
|---|---|
| Former Name | MIRIAM COVARRUBIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-011364) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2021-02-22 |