| NPI | 1033434857 |
|---|---|
| Former Name | ELIZABETH RUTH BONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX LPC603089) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |