| NPI | 1366510273 |
|---|---|
| Former Name | MARITZA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 01010995) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 4598) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-07-29 |