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 |