NPI | 1346505849 |
---|---|
Former Name | MONTICA ANNE LEITNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69764) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11881) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2024-10-09 |