NPI | 1104122811 |
---|---|
Former Name | SANDRA FILOTEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64838) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10844) |
Enumeration Date | 2011-01-28 |
Last Update Date | 2011-01-28 |