NPI | 1841650926 |
---|---|
Former Name | DESIREE ANN GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2204105) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1902087TRNE) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA163440) | |
Enumeration Date | 2016-03-02 |
Last Update Date | 2023-08-02 |