| NPI | 1982377040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81162) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 81162) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15426) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |