| NPI | 1255839296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12531) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 42327) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2023-09-26 |