NPI | 1740787001 |
---|---|
Former Name | YUDITH LEDESMA SILVERIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-04-12 |
Last Update Date | 2021-01-21 |