| NPI | 1033991708 |
|---|---|
| Former Name | JENNY BAUTISTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW61046958) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23873) |
| 101YM0800X Counselor, Mental Health (Licence: NC C011928) | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-08-20 |