| NPI | 1760170559 |
|---|---|
| Other Name | RAQUEL DE LEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 6561871) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID LAMFT-9316) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2024-10-09 |