| NPI | 1164141578 |
|---|---|
| Former Name | JOSIE PANTALEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2024-12-04 |