| NPI | 1215602321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 46419) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 84991) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |