NPI | 1982124152 |
---|---|
Former Name | ESTEFANIA COLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW100510) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100510) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2024-10-15 |