| NPI | 1134943574 |
|---|---|
| Former Name | MARIA SANTIAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |