NPI | 1851624654 |
---|---|
Former Name | NORMA MARIE MARQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1507150523) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2009-09-10 |
Last Update Date | 2023-11-16 |