| NPI | 1750038311 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15549) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 171400000X Health & Wellness Coach | |
| 174H00000X Health Educator | |
| Enumeration Date | 2022-03-03 | 
| Last Update Date | 2022-03-03 |