| NPI | 1598225575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 74795) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74795) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13761) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-03-18 |