| NPI | 1437517034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11832) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 52737) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-12-09 |