| NPI | 1487660460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 138323-3501) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 138323-6006) |
| 104100000X Social Worker (Licence: UT 138323-3503) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-06-20 |