| NPI | 1235352105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: 54107) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 11298) |
| 104100000X Social Worker (Licence: TX 54107) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 54107) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-11-02 |