| NPI | 1376130229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 82020) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 13746) |
| 101YM0800X Counselor Mental Health (Licence: TX 82020) | |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2023-02-02 |