| 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 |