NPI | 1831487545 |
---|---|
Former Name | JACQUELINE MIRAMONTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2011-07-14 |
Last Update Date | 2012-12-11 |