| NPI | 1720383037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 69633) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CBT-2023-0661) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15406) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 832) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1509) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LIAC-155358) | |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2025-09-18 |