| NPI | 1699115527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69481) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 69481) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 69481) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2014-05-15 |