| NPI | 1689435315 |
|---|---|
| Former Name | MONDREA RENEE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16181) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |