NPI | 1578055604 |
---|---|
Former Name | MONICA URENA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC21954) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75795) |
Enumeration Date | 2018-06-04 |
Last Update Date | 2025-01-17 |