NPI | 1043385867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX LMFT270) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX LPC9473) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX LCDC1968) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2025-09-11 |