| NPI | 1013425040 |
|---|---|
| Former Name | MARIA LUISA DE LOS SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178010373) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178010373) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 31737) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 178010373) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2021-01-27 |