NPI | 1790887701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX SO8078) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX ICRC21155) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX CADACII#121) | |
Enumeration Date | 2006-09-01 |
Last Update Date | 2008-04-20 |