| NPI | 1265175830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85973) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 52478) |
| 101YM0800X Counselor, Mental Health (Licence: TX 85973) | |
| 101YP2500X Counselor, Professional (Licence: NV CP5406-R) | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-05-31 |