| NPI | 1356478929 |
|---|---|
| Former Name | DENISE ULLOA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 86061948) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-06-04 |