| NPI | 1437551934 |
|---|---|
| Former Name | PAULA KATHLEEN CARLISLE-RODRIQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA CADCIII-B0000790420) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CADCIII-B0000790420) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2025-05-28 |