NPI | 1538863600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 84185) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 84185) | |
101YM0800X Counselor, Mental Health (Licence: TX 84185) | |
Enumeration Date | 2023-03-30 |
Last Update Date | 2023-07-31 |