| NPI | 1790059871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 9287) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 4529) |
| 104100000X Social Worker (Licence: TX 12912) | |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |