NPI | 1700207438 |
---|---|
Former Name | TERESA ANN GARZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 000058) |
Enumeration Date | 2013-12-23 |
Last Update Date | 2019-09-04 |