| NPI | 1669736096 |
|---|---|
| Former Name | ANGELICA MARIA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6367) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 13-12-25) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2021-12-13 |