NPI | 1699149252 |
---|---|
Other Name | MAGGIE MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87996) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180012059) |
101YP2500X Counselor, Professional (Licence: IL 178011444) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32886) | |
Enumeration Date | 2015-11-19 |
Last Update Date | 2023-08-24 |