| NPI | 1275298788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 48836) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management (Licence: TX 48836) | |
| 405300000X Prevention Professional (Licence: TX 105673) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |