| NPI | 1952823098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12905) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2023-08-22 |