NPI | 1821613217 |
---|---|
Former Name | ALINA MARTINEZ-TREVINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 76156) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13199) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |