NPI | 1174093587 |
---|---|
Former Name | VERONICA M GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 13711) |
Enumeration Date | 2018-11-28 |
Last Update Date | 2023-10-05 |