NPI | 1215558978 |
---|---|
Former Name | ALEXANDRA FRANCESCA BORGIA BUCCI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10001080) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-05-04 |
Last Update Date | 2024-03-13 |