NPI | 1609387604 |
---|---|
Professional Name | KIMBERLY SUE BURCIAGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CiCA02730220) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-10-17 |
Last Update Date | 2023-05-18 |