| NPI | 1417988353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 41875) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3654) |
| 104100000X Social Worker (Licence: NM I04876) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-10-01 |