NPI | 1821345794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11792) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 11792) |
101YP2500X Counselor, Professional (Licence: CO 0017019) | |
Enumeration Date | 2012-08-10 |
Last Update Date | 2024-07-25 |