| NPI | 1104552306 |
|---|---|
| Former Name | PATRICIA CORTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-07-13 |