| NPI | 1558666438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8108) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15115R1008) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 703972) | |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |