| NPI | 1114692217 |
|---|---|
| Former Name | TESSA KRUGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16022) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 49764) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2023-02-03 |