NPI | 1417111774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80981) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80981) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10722) | |
Enumeration Date | 2008-07-16 |
Last Update Date | 2023-11-09 |