| NPI | 1649812868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 75888) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 75888) | |
| 101YP2500X Counselor Professional (Licence: TX 75888) | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2020-04-28 |