| NPI | 1316368434 |
|---|---|
| Former Name | DORIS GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58672) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9650) |
| 104100000X Social Worker (Licence: TX 58672) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2023-01-25 |