| NPI | 1558694026 |
|---|---|
| Former Name | MICHAEL ROBLEDO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2023-07-12 |