| NPI | 1336650407 |
|---|---|
| Former Name | NATALIA AYELEN PARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109423) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 81384) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2022-11-03 |