| NPI | 1356901219 |
|---|---|
| Former Name | CHRISTELLA ANN BERMUDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: TX 175707) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: TX 04475) |
| 225C00000X Rehabilitation Counselor (Licence: TX 118591) | |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |