| NPI | 1881064079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 7120976-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 7120927-6009) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 7120976-6006) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2021-06-29 |