NPI | 1720361967 |
---|---|
Former Name | KATHY MARIE GUERRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2011-09-23 |
Last Update Date | 2018-07-25 |