| NPI | 1568753390 |
|---|---|
| Former Name | DIANA ALEJANDRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10442) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2012-10-01 |