| NPI | 1073689857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9241) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA T774) |
| 101YP2500X Counselor, Professional (Licence: TX 18033) | |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2007-07-09 |