| NPI | 1588493936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69404) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15960) |
| 104100000X Social Worker (Licence: TX 69404) | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-26 |