NPI | 1679689673 |
---|---|
Former Name | DOLORES THERESE GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6460) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 27629) |
1041C0700X Social Worker, Clinical (Licence: TX 27629) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2007-07-09 |