| NPI | 1366166753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 89036) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16269) |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC-9426) | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-09-10 |