| NPI | 1558068015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15843) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 66022) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |