NPI | 1972776045 |
---|---|
Former Name | SYLVIA TORRES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC006038) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health (Licence: NM 0905) | |
Enumeration Date | 2008-04-09 |
Last Update Date | 2011-03-08 |