| NPI | 1780228817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13749) |
| 104100000X Social Worker (Licence: TX 57899) | |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2023-03-24 |