| NPI | 1770640542 |
|---|---|
| Former Name | YVETTE ACOSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R053808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015039799) |
| 1041C0700X Social Worker, Clinical (Licence: KS LSCSW4506) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-12-21 |