NPI | 1558648063 |
---|---|
Former Name | ROSA RAMOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60221224) |
Enumeration Date | 2011-11-11 |
Last Update Date | 2011-11-11 |