| NPI | 1235953092 |
|---|---|
| Former Name | KRISTINA ERIN GUTIERREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1484090922) |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |