NPI | 1851816193 |
---|---|
Former Name | NICOLE AYSSA HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13006) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13006) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2023-12-10 |