NPI | 1033221726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 111049) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 5564) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2025-09-11 |