| NPI | 1720655186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81879) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15446) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2023-04-13 |