| NPI | 1417443573 |
|---|---|
| Former Name | SYDNEY CATHERINE ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 81902) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14454) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-05-27 |