| NPI | 1053820738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69352) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11506) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-08-21 |