| NPI | 1598255713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78958) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 61470) |
| 101YM0800X Counselor, Mental Health (Licence: TX 78958) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-05-22 |