| NPI | 1497304943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 64812) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14623) |
| 104100000X Social Worker (Licence: TX 64812) | |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2022-04-25 |