| NPI | 1023357043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67578) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 67578) |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14131) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 67578) | |
| 225C00000X Rehabilitation Counselor | |
| 251S00000X | |
| 251S00000X (Licence: TX 67578) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2023-05-25 |