NPI | 1649829920 |
---|---|
Former Name | ISABELLE PATRICE VALDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60967174) |
Enumeration Date | 2019-09-09 |
Last Update Date | 2022-10-29 |