NPI | 1902170160 |
---|---|
Former Name | SELENA R FLOREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM CCMH0224461) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-03-05 |
Last Update Date | 2025-07-29 |