| NPI | 1831573757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 68080) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11507) |
| 101YP2500X Counselor, Professional (Licence: TX 68080) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2022-08-11 |