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 |