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 | 2024-12-19 |