| NPI | 1659867760 |
|---|---|
| Former Name | DEPRISE LYNN PRADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LCPC-8668) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-6921) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-09-06 |