| NPI | 1386225829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 78880) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 78880) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 78880) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |