| NPI | 1194242396 |
|---|---|
| Former Name | SUSAN GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60631140) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60631140) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2024-09-20 |