NPI | 1841055282 |
---|---|
Former Name | AIXA VIVIANA SANCHEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 14364) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 05208618) |
Enumeration Date | 2024-02-15 |
Last Update Date | 2024-02-15 |