NPI | 1487253571 |
---|---|
Former Name | EVANS RENE COITO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2020-10-20 |
Last Update Date | 2022-11-14 |