| NPI | 1194104430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 56653) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12762) |
| 104100000X Social Worker (Licence: TX 56653) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2023-04-26 |