| NPI | 1801577366 |
|---|---|
| Former Name | JULISSA TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NY NYCPS-2344) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NY CRPA-5835) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |