| NPI | 1164662938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 61439) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NM 0092971) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 0092971) | |
| 1041C0700X Social Worker Clinical (Licence: NM I-08159) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2016-09-16 |