| NPI | 1265098859 |
|---|---|
| Former Name | ODALIS VERGARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21327) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20255) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2023-08-28 |