NPI | 1538661061 |
---|---|
Former Name | LISAMONET SALAZAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2018-02-28 |
Last Update Date | 2020-08-30 |