| NPI | 1801109806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 64731) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11125) |
| 101YM0800X Counselor, Mental Health (Licence: TX 64731) | |
| 101YP2500X Counselor, Professional (Licence: TX 64731) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2013-06-21 |