| NPI | 1740840438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 84573) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14879) |
| 225C00000X Rehabilitation Counselor (Licence: 00306515) | |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2025-04-27 |