NPI | 1417303298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72411) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 72411) |
101YM0800X Counselor, Mental Health (Licence: TX 72411) | |
101Y00000X Counselor (Licence: TX 72411) | |
Enumeration Date | 2016-05-10 |
Last Update Date | 2020-10-27 |