NPI | 1053943159 |
---|---|
Former Name | MARICELA BARRIOS CHAILIAB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA CG61040112) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-02-06 |
Last Update Date | 2020-04-21 |