| NPI | 1821540246 |
|---|---|
| Former Name | MARISELA CASTILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 19790) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC 6291) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2025-03-31 |