NPI | 1811561822 |
---|---|
Former Name | MIRNA HIGINIA CAROZZA CONTRERAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21085) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-05-14 |
Last Update Date | 2024-02-04 |