| NPI | 1366778110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 0000047) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 2531-A) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |