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 |