NPI | 1386049435 |
---|---|
Former Name | SANDRA IVELISSE SOSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25330) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008058) |
101YS0200X Counselor, School (Licence: FL 1245617) | |
101YS0200X Counselor, School (Licence: GA 772021) | |
Enumeration Date | 2014-10-31 |
Last Update Date | 2025-04-30 |