| NPI | 1326862566 |
|---|---|
| Former Name | CHRISTINE MARIE MARQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1582861024) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |