| NPI | 1518045749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 8077) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 14819) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |