| NPI | 1932488921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62311) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 7697) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3432) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0039) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2014-10-16 |