| NPI | 1093147506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 71315) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 12156) |
| 101YM0800X Counselor Mental Health (Licence: TX 71315) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2016-10-07 |