| NPI | 1306568571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 00191171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 86702) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16079) | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2025-01-21 |