NPI | 1508984584 |
---|---|
Former Name | DORIS MENDOZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00000442) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA RC00000864) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-07-08 |