| NPI | 1659126985 |
|---|---|
| Former Name | ALEXANDER EDWARD RAMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2024-0271) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |