| NPI | 1669860383 |
|---|---|
| Former Name | JANICE MALLARI VICEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5387) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 372600000X Adult Companion | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2021-09-24 |