NPI | 1245841121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 115853) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00264500) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 115853) | |
Enumeration Date | 2020-08-13 |
Last Update Date | 2025-08-06 |