| NPI | 1053454827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 11553) |
| 106H00000X Marriage & Family Therapist (Licence: TX 3436) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 1693) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-01-22 |