| NPI | 1679847123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 10114) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 70672) |
| 101Y00000X Counselor (Licence: LA 8518) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 10114) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 70672) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 70672) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 8518) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 8518) | |
| 101YP2500X Counselor, Professional (Licence: TX 70672) | |
| 101YP2500X Counselor, Professional (Licence: LA 8518) | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2021-05-07 |