| NPI | 1497499008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 102264) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA PLC10273) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC-5175) | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2026-05-11 |