| NPI | 1811109648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50207) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10280) |
| 1041C0700X Social Worker, Clinical (Licence: LA 4268) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-12-09 |