NPI | 1548921935 |
---|---|
Former Name | PRICILA DE LEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2022-01-07 |
Last Update Date | 2023-08-31 |