| NPI | 1861829954 |
|---|---|
| Former Name | ROXANA YASMIN CARMENATE PUPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11438) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2023-07-21 |