| NPI | 1568131589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 68437) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW009819) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16307) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2023-07-28 |