| NPI | 1184832016 |
|---|---|
| Former Name | ADRIANA MARIA BUSTAMANTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 915) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1828) |
| 101Y00000X Counselor (Licence: NE 3666) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-10-12 |