| NPI | 1336425362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66783) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 66783) |
| 101YP2500X Counselor, Professional (Licence: TX 66873) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11571) | |
| 101YP2500X Counselor, Professional (Licence: LA 8144) | |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2022-11-22 |