NPI | 1073091104 |
---|---|
Former Name | URSULA CERRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC15517) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD LC10034) | |
Enumeration Date | 2018-07-31 |
Last Update Date | 2024-01-03 |