| NPI | 1932379898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 23424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10012) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2022-07-21 |