| NPI | 1326853557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84676) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16167) |
| 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC72967) | |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |