NPI | 1508374091 |
---|---|
Other Name | VENETTA EVON DAVIS DEL CASTILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 205684) |
Enumeration Date | 2018-01-18 |
Last Update Date | 2021-01-25 |