| NPI | 1013456367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16331) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 60871) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2025-05-19 |