| NPI | 1801239538 |
|---|---|
| Former Name | LISSETTE MARIE COLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0800476-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0800476) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2016-10-10 |