| NPI | 1063846970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72604) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13003) |
| 106H00000X Marriage & Family Therapist (Licence: TX 202106) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2024-05-08 |