| NPI | 1427421908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 64143) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 64143) |
| 101YM0800X Counselor, Mental Health (Licence: TX 64143) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |