| NPI | 1508471251 |
|---|---|
| Former Name | LISBET AGUILAR VARGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10137-125) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2022-12-09 |