| NPI | 1952433153 |
|---|---|
| Former Name | JUANA SAN RAMIREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IA T24011) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-06-18 |