| NPI | 1740607811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68630) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 68630) |
| 101YM0800X Counselor, Mental Health (Licence: TX 68630) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2026-03-16 |