NPI | 1871746958 |
---|---|
Former Name | JULIA A. DIAZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 64986) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-11-03 |
Last Update Date | 2021-12-10 |