NPI | 1821399874 |
---|---|
Former Name | FLORENTINA ISABELLE ACOSTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 1523-LCPC) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MT 1523) |
Enumeration Date | 2010-11-08 |
Last Update Date | 2019-11-27 |