NPI | 1073949822 |
---|---|
Former Name | CYNTHIA GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014138) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0007359) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2023-05-23 |