| NPI | 1477878080 |
|---|---|
| Former Name | ELENA DANIELLE REYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10193) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2024-11-12 |