NPI | 1154103828 |
---|---|
Former Name | SHARAL MARLENA TRUJILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 19894) |
Enumeration Date | 2023-10-17 |
Last Update Date | 2025-07-29 |