| NPI | 1740845718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86651) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11768) |
| 101YM0800X Counselor, Mental Health (Licence: TX 86651) | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2026-03-04 |