| NPI | 1639730054 |
|---|---|
| Former Name | CHRISTINIA JEAN YBARRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60889919) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |