| NPI | 1952035479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 39586) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: TX 80787) | |
| 101Y00000X Counselor (Licence: TX 80787) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 39586) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-11-25 |