| NPI | 1942174537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16897) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 116069) |
| 172V00000X Community Health Worker (Licence: TX 8301) | |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |