NPI | 1801221809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11932) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66706) |
Enumeration Date | 2013-09-09 |
Last Update Date | 2019-04-09 |