| NPI | 1558938993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 112326) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 43757) |
| 104100000X Social Worker (Licence: TX 112326) | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2025-08-05 |