NPI | 1275058612 |
---|---|
Former Name | STEFFLAN WILLEMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76357) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13451) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2020-02-20 |