| 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 |