| NPI | 1518938752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 6406) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 12643) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2007-07-09 |