NPI | 1740444926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX LPC 19459) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX LCDC 9238) |
101YP2500X Counselor, Professional (Licence: TX LPC 19459) | |
Enumeration Date | 2008-07-16 |
Last Update Date | 2022-10-07 |