| NPI | 1821648197 |
|---|---|
| Former Name | ELAINA K LUNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 1733551) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2025-01-02 |