| NPI | 1649559634 |
|---|---|
| Former Name | GLADYS M MARTINEZ-DELISSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6921) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2018-08-08 |