NPI | 1386270205 |
---|---|
Other Name | LYNDA CANNEZZARO FELDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 78008) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13912) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2020-03-23 |