| NPI | 1063719904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 71646) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101YM0800X Counselor Mental Health (Licence: TX 71646) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 71646) | |
| 101Y00000X Counselor (Licence: TX 71646) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 71646) | |
| 101YS0200X Counselor School (Licence: TX 71646) | |
| 102L00000X Psychoanalyst (Licence: TX 71646) | |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2016-03-23 |