| NPI | 1902180896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 66022) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 66022) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 66022) | |
| 101YP2500X Counselor Professional (Licence: TX 66022) | |
| 101YS0200X Counselor School (Licence: TX 939792) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2012-09-06 |