| NPI | 1194064154 |
|---|---|
| Former Name | ANASTACIA DELVALLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA MFT001385) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA AMFT000231) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2023-09-13 |