| NPI | 1881869691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15887) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 39034) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2022-07-12 |