| NPI | 1427223023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 6732424-3501) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: UT 6732424-3503) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: UT 6732424-6006) | |
| 101YM0800X Counselor Mental Health (Licence: UT 6732424-3501) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2015-02-23 |