| NPI | 1306332598 |
|---|---|
| Former Name | LORI ANN GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 76720) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14188) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2025-02-19 |