| NPI | 1841574654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10003) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 10003) |
| 172V00000X Community Health Worker (Licence: TX 10003) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2018-03-17 |