NPI | 1861557811 |
---|---|
Former Name | PATRICIA GUERRERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4460) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6487) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2014-10-28 |