| NPI | 1134602527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203167) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12854) |
| 101YP2500X Counselor, Professional (Licence: TX 76822) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2022-10-11 |