| NPI | 1689440026 |
|---|---|
| Former Name | SARA ANN MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1560290524) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-05-07 |