| NPI | 1104161181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 30431) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 8447) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2023-10-26 |