| NPI | 1831363878 |
|---|---|
| Other Name | JANICE MARIE SANDOVAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 3799) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |