NPI | 1588432603 |
---|---|
Former Name | DELMA GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92791) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16807) |
Enumeration Date | 2023-12-18 |
Last Update Date | 2025-07-08 |