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 |