| NPI | 1831606441 |
|---|---|
| Other Name | JAMIE ANN CYNTHIA DE SOUSA DIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1260770817) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |