| NPI | 1801430822 |
|---|---|
| Former Name | JUSTINE ANTOINETTE OZUNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 78092) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 12620) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-12-18 |