NPI | 1487310694 |
---|---|
Former Name | CARLA TRENELL ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8418) |
Enumeration Date | 2021-11-11 |
Last Update Date | 2021-11-11 |