NPI | 1497289508 |
---|---|
Former Name | MOMILANI S MORALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011967) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC017167) |
101YM0800X Counselor, Mental Health (Licence: HI MHC-434) | |
Enumeration Date | 2017-04-14 |
Last Update Date | 2024-05-14 |