| NPI | 1033899703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 94635) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16689) |
| 106H00000X Marriage & Family Therapist (Licence: TX 205084) | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-03-28 |