| NPI | 1932574605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 13255) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 61127) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |