| NPI | 1932253218 |
|---|---|
| Former Name | BONNIE CHRISTINE MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801082008) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2019-10-07 |