| NPI | 1558534438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 20023) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10038) |
| 101YP2500X Counselor, Professional (Licence: AZ 15254) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2024-01-09 |