| NPI | 1861758757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92864) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16997) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006215) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2025-08-15 |