| NPI | 1043798853 |
|---|---|
| Former Name | SHAREEDA NIEVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD AC1838) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |