| NPI | 1215445556 |
|---|---|
| Former Name | ASHLEY L BERROCAL LLERENA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R7896) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2023-11-21 |