| 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 |