| NPI | 1023532496 | 
|---|---|
| Former Name | PRISCILLA VIANA GARCIA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71273) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14123) | 
| Enumeration Date | 2017-07-27 | 
| Last Update Date | 2021-09-14 |