| NPI | 1679907174 |
|---|---|
| Former Name | EBBIE CABRERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9149805-6004) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2020-06-12 |