| NPI | 1033851159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77915) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 77915) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14369) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 77915) | |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2022-04-09 |