| NPI | 1881604130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8914) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 16504) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-09-11 |