NPI | 1861040875 |
---|---|
Former Name | MONICA N ORTEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2022-0998) |
Enumeration Date | 2019-09-03 |
Last Update Date | 2025-07-10 |