| NPI | 1922553478 |
|---|---|
| Other Name | SANDRA O BETANCOURT ISALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 4610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 50150) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |