| NPI | 1104441732 |
|---|---|
| Former Name | DANA EATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14345) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 76598) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |