| NPI | 1710382197 |
|---|---|
| Former Name | XIOMARA DIAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 14083) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH11610) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2022-06-22 |