| NPI | 1598125148 |
|---|---|
| Other Name | GENEVA GONZALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 5990-R) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |