| NPI | 1104522986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 93861) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 225C00000X Rehabilitation Counselor (Licence: 499999) | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-10-22 |