| NPI | 1700296860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55902) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11897) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW11861) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2022-07-21 |