| NPI | 1003465659 |
|---|---|
| Former Name | EVA BERNADETTE SORES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 14965-RAC) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2022-11-23 |