| NPI | 1356799134 |
|---|---|
| Former Name | JESENIA MALDONADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22412) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4692) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2023-07-25 |