| NPI | 1417448952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81503) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 81503) |
| 104100000X Social Worker (Licence: TX 63696) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2021-06-24 |