| 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 |