| NPI | 1568573863 |
|---|---|
| Former Name | MARIA HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0003844) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACC.0007058) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-05-20 |