| NPI | 1427202563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 998) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 43718) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |