NPI | 1093043598 |
---|---|
Former Name | ROSA ESCOBAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65865) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6139) |
Enumeration Date | 2009-11-23 |
Last Update Date | 2012-07-25 |