| NPI | 1003457219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93424) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001913) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0019687) | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2026-07-16 |