NPI | 1366801144 |
---|---|
Former Name | PATRICIA SUAREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 7469) |
Enumeration Date | 2016-02-22 |
Last Update Date | 2021-06-24 |