| NPI | 1689258881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9422) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 94983) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2026-07-30 |