NPI | 1649793308 |
---|---|
Former Name | MELISSA RUIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 9245) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2023-11-08 |