| 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 |