| NPI | 1144641523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201918) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11934) |
| 101YP2500X Counselor, Professional (Licence: TX 69902) | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2017-11-25 |