| NPI | 1942623863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 4237) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 18929) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2016-04-28 |