NPI | 1881887412 |
---|---|
Former Name | CHRISTINA MARIE DE LA ROSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 91678) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2007-08-27 |
Last Update Date | 2025-06-19 |