| NPI | 1679337604 |
|---|---|
| Former Name | MARY OCHOA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-03-19 |