NPI | 1154811438 |
---|---|
Professional Name | GLORIA JAMES WALLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73537) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12881) |
Enumeration Date | 2018-05-13 |
Last Update Date | 2020-06-05 |