| NPI | 1184981540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 7564) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 4328) |
| 104100000X Social Worker (Licence: TX 05666) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |