| NPI | 1679873780 |
|---|---|
| Former Name | DESIREE C CANTORNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP0120) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 01194) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2016-01-21 |