| NPI | 1841860194 |
|---|---|
| Former Name | RYSA SHAVONNE SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.017269) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-06-29 |