NPI | 1417013574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 32084) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9979) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 0189) | |
Enumeration Date | 2006-12-30 |
Last Update Date | 2012-01-04 |