| 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 |