| NPI | 1891425088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16178) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 21594) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2026-07-02 |