| NPI | 1376082321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 001082) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15637) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 85244) | |
| 101YM0800X Counselor, Mental Health (Licence: CO 0015273) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2021-04-19 |