NPI | 1215553854 |
---|---|
Former Name | ALISON DE LA CONCEPCION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0215461) |
Enumeration Date | 2020-06-19 |
Last Update Date | 2021-02-08 |