| NPI | 1285866921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 847075) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2015-06-19 |