| NPI | 1306362447 |
|---|---|
| Former Name | ALICE PAULINE LUNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MG60875270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 248460) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2021-09-21 |