| NPI | 1396018396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 60189) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 60189) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 60189) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 60189) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2015-11-03 |