NPI | 1902223670 |
---|---|
Former Name | MAXIEL AMAREYIS MATEO-FOXX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4630) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9648954) |
Enumeration Date | 2014-03-19 |
Last Update Date | 2024-01-17 |