| NPI | 1285050047 |
|---|---|
| Former Name | TONJA BOLIVAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 114707) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2469) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: IA 114707) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2025-09-04 |