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 |