NPI | 1083969661 |
---|---|
Former Name | NATASHA VALENTINA FERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16597) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH16597) |
390200000X Student in an Organized Health Care Education/Training Program | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2012-07-19 |
Last Update Date | 2024-11-18 |