| 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 |