NPI | 1003586595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 91346) |
Additional Taxonomies | 104100000X Social Worker (Licence: TX 61809) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15954) | |
Enumeration Date | 2021-09-15 |
Last Update Date | 2025-06-02 |