| NPI | 1457086894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0903003371) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15677) |
| 104100000X Social Worker (Licence: TX 104420) | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |