| 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 |