| NPI | 1356708689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 73971) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 73971) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC013080) | |
| 101YP2500X Counselor, Professional (Licence: TX 73971) | |
| Enumeration Date | 2016-01-17 |
| Last Update Date | 2023-09-29 |