| NPI | 1437786373 |
|---|---|
| Former Name | COURTNEY M AGUILAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12340) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |