NPI | 1699097832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64012) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 64012) |
101YM0800X Counselor, Mental Health (Licence: TX 64012) | |
Enumeration Date | 2010-02-15 |
Last Update Date | 2010-02-15 |