NPI | 1922596832 |
---|---|
Other Name | CHRISTIAN RAFAEL CRUZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17195) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2018-04-26 |
Last Update Date | 2024-12-18 |