| 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 |