| NPI | 1508884339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3275) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 08127) |
| 101YM0800X Counselor, Mental Health (Licence: TX 09806) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |