| 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 |