| NPI | 1538717434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78687) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 78687) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2020-03-05 |