| NPI | 1164091021 |
|---|---|
| Other Name | CONCEPCION G. MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CSA0214491) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-06-23 |