NPI | 1134624380 |
---|---|
Former Name | DAYSI MARIA BELLOTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 29590) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-29590) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2019-06-12 |