NPI | 1962986059 |
---|---|
Former Name | HELEN PORTALATIN DE VARGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH20558) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-09-24 |
Last Update Date | 2021-07-14 |