| NPI | 1417584483 |
|---|---|
| Former Name | GINA GOMEZ-LAZZARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1379750320) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-05-20 |