| NPI | 1609314772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85318) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16537) |
| 101YM0800X Counselor, Mental Health (Licence: OR C6203) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2025-06-26 |