| NPI | 1609462480 |
|---|---|
| Former Name | ANA ALICIA PEREZ-INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59774) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15054) |
| 101YM0800X Counselor, Mental Health (Licence: TX 59774) | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2023-11-21 |