| NPI | 1730525718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84029) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: LA 8610) | |
| 101YP2500X Counselor, Professional (Licence: MS 1710) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2022-12-03 |