NPI | 1902264773 |
---|---|
Other Name | DARCY BRACAMONTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-11520) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-11168) |
Enumeration Date | 2016-02-08 |
Last Update Date | 2016-02-08 |