| NPI | 1194848663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53340) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11005) |
| 1041C0700X Social Worker, Clinical (Licence: OK 3443) | |
| 104100000X Social Worker (Licence: OK 2817) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 249) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-09-12 |