| NPI | 1609433655 |
|---|---|
| Other Name | MARIA GLADYS R NUNEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RADT1-R1330141118) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |