NPI | 1205545662 |
---|---|
Former Name | GRACIELA TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CTB-2024-0609) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0204121) |
Enumeration Date | 2022-11-15 |
Last Update Date | 2024-10-29 |