| NPI | 1174002901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12655) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 58109) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |