NPI | 1619102076 |
---|---|
Former Name | TONANTZIN DIONISIA MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 960001182) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2012-05-31 |