NPI | 1255994372 |
---|---|
Former Name | STEPHANIE VALENTINA LORA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH23317) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-04-15 |
Last Update Date | 2022-11-04 |