NPI | 1033461751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 18739) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9375) |
101YM0800X Counselor, Mental Health (Licence: TX 18739) | |
101YP2500X Counselor, Professional (Licence: TX 18739) | |
Enumeration Date | 2012-10-04 |
Last Update Date | 2012-10-04 |