NPI | 1407965676 |
---|---|
Former Name | ANGELICA REYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2011-09-28 |