| NPI | 1639761117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 12865) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 12865) | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2021-02-06 |