| NPI | 1194237842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 73748) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 13072) |
| 101YM0800X Counselor Mental Health (Licence: TX 73748) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2024-05-23 |