| NPI | 1700265493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 71154) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 71154) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12860) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2026-01-28 |