| NPI | 1437411949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81074) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7140) |
| 101YP2500X Counselor, Professional (Licence: CO 6451) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2020-09-03 |