| NPI | 1386357739 |
|---|---|
| Former Name | JOCELYN NICOLE VEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 39007BNA) |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2024-11-26 |