NPI | 1023531365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77890) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 77890) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 77890) | |
101YM0800X Counselor, Mental Health (Licence: TX 77890) | |
Enumeration Date | 2017-07-19 |
Last Update Date | 2024-04-02 |