| NPI | 1841635125 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 66773)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13899)  | 
| Enumeration Date | 2013-05-01 | 
| Last Update Date | 2025-03-26 |