| NPI | 1720523657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74108) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12716) |
| 101YM0800X Counselor, Mental Health (Licence: TX 74108) | |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2020-10-23 |