NPI | 1932718178 |
---|---|
Other Name | CORALIZ MYRTIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 19605) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH18070) |
Enumeration Date | 2020-07-23 |
Last Update Date | 2021-12-23 |