| NPI | 1992213136 |
|---|---|
| Former Name | ADA CASTILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 62630) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14256) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2024-01-24 |