| NPI | 1649781600 |
|---|---|
| Former Name | DENISE CRISTINA HARDT PIRES CALLAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL CMHP100001) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 17-30416) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |