| NPI | 1215447909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78236) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13967) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2023-03-04 |