| NPI | 1306611009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: TX 65639) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15421) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |