| NPI | 1043614209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74553) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12657) |
| 101YP2500X Counselor, Professional (Licence: OR C7084) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-08-29 |