NPI | 1972677839 |
---|---|
Former Name | SHELLY DENISE CANTU-RAMIREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101Y00000X Counselor | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2024-03-04 |