| NPI | 1053130492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93589) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0020985) | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |