NPI | 1386611168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9513) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 30943) |
103T00000X Psychologist (Licence: TX 30943) | |
Enumeration Date | 2006-03-01 |
Last Update Date | 2022-07-21 |