| NPI | 1588113179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 92182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013130) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000530) | |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2024-06-05 |