| NPI | 1013559988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 10292) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral (Licence: MS AE719444D) | |
| 101YP2500X Counselor Professional (Licence: TX 59891) | |
| 103TC1900X Psychologist Counseling | |
| 106H00000X Marriage & Family Therapist (Licence: TX AE719444D) | |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2024-06-18 |