| NPI | 1013758440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 16457) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14606) |
| 101YM0800X Counselor, Mental Health (Licence: TX 78480) | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2025-01-29 |