| NPI | 1114101755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 61677) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10029) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2020-09-22 |