| NPI | 1073989034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 332391-3502) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 332391-6006) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 332391-6005) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2024-08-19 |