| NPI | 1396620076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 98672) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 17182) |
| 221700000X Art Therapist (Licence: TX 24-252) | |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |