NPI | 1245776616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81755) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 81775) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14775) | |
101YP2500X Counselor, Professional (Licence: TX 81755) | |
106S00000X Behavior Technician | |
Enumeration Date | 2017-01-10 |
Last Update Date | 2020-10-27 |