| NPI | 1346706710 |
|---|---|
| Former Name | ALICIA MUNGUIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76453) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14766) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2023-03-29 |