| NPI | 1548802192 |
|---|---|
| Former Name | DOLORES ALICIA HERENANDEZ PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2025-04-17 |