| NPI | 1487469946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 97903) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16194) |
| 101YP2500X Counselor, Professional (Licence: PR 2425) | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |