| NPI | 1801231147 |
|---|---|
| Other Name | MARIA ELENA FONTAINE VELASCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13552) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH10933) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2020-08-11 |