| NPI | 1588226609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16869) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2024-03-27 |