NPI | 1295916260 |
---|---|
Former Name | LORENA HERRERA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60962650) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60338133) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA LH60962650) | |
101Y00000X Counselor (Licence: WA LH60962650) | |
101YM0800X Counselor, Mental Health (Licence: WA RC00059643) | |
Enumeration Date | 2007-11-19 |
Last Update Date | 2024-01-19 |