NPI | 1306467121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13617) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 64783) |
Enumeration Date | 2020-05-04 |
Last Update Date | 2020-05-04 |