| NPI | 1467911008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15509) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 97538) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2025-05-19 |