| NPI | 1265816581 |
|---|---|
| Former Name | EUGENIA MARIA ACEVEDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI CSAC 10909-132) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |