| NPI | 1336021542 |
|---|---|
| Former Name | KATIE EVALEE HUERTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 21532) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2026-07-06 |