| NPI | 1841381613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63747) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13530) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 568) | |
| 101YP2500X Counselor, Professional (Licence: TX 63747) | |
| 101YP2500X Counselor, Professional (Licence: OK 3082) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-02-21 |