NPI | 1053127605 |
---|---|
Former Name | ISABELA JEZEL FRANCISCA EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 2007) |
Enumeration Date | 2024-12-09 |
Last Update Date | 2025-03-19 |