NPI | 1467087023 |
---|---|
Former Name | ANGELA CASTRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10451) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP4881) |
Enumeration Date | 2020-03-04 |
Last Update Date | 2020-06-16 |