| NPI | 1881433639 |
|---|---|
| Former Name | ELISA ANGELICA RODRIGUEZ |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-06-04 |