| NPI | 1699571794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 66835) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 66835) |
| 101YP2500X Counselor, Professional (Licence: TX 66835) | |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |