| NPI | 1437599669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12149) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 67965) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |