| NPI | 1467577031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 15054) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 6583) |
| 104100000X Social Worker (Licence: TX 26576) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-04-23 |