NPI | 1588094122 |
---|---|
Former Name | RUTH CORTEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A12691) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-11-18 |
Last Update Date | 2018-03-26 |