NPI | 1740091206 |
---|---|
Former Name | RHONDA LEANNE GONZALES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 17136) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2024-0810) |
Enumeration Date | 2025-01-15 |
Last Update Date | 2025-01-15 |