| NPI | 1720484561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 64270) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 64270) |
| 101YM0800X Counselor, Mental Health (Licence: TX 64270) | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |