| NPI | 1972347094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 1725146) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16711) |
| 101YM0800X Counselor, Mental Health (Licence: TX 90659) | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |