| NPI | 1174878276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64216) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 64216) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 64216) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 64216) | |
| 101YP1600X Counselor, Pastoral (Licence: TX 64216) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |