NPI | 1255601902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: TX 29077) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9729) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |