| NPI | 1346588381 |
|---|---|
| Former Name | JINNELLE VERONIQUE AGUILAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69081) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12129) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2024-04-17 |