| NPI | 1689907735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66168) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 30772) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8370) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2012-07-24 |