| NPI | 1326974346 |
|---|---|
| Former Name | JENNIFER DEL CARMEN VACA VAQUEDANO |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RT1426710126) |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-06-18 |