| NPI | 1700382405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 74238) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 13047) |
| 101YM0800X Counselor Mental Health (Licence: TX 74238) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-12-08 |