NPI | 1356602817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 77077) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 11706) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2023-10-03 |