| NPI | 1902198492 |
|---|---|
| Former Name | LETICIA CORTEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2024-12-19 |