NPI | 1659033793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82951) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 82951) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 82951) | |
101YM0800X Counselor, Mental Health (Licence: TX 82951) | |
Enumeration Date | 2021-10-06 |
Last Update Date | 2021-10-06 |