| NPI | 1851756951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12300) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 71045) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |