| NPI | 1154497550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 10769) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 003090042688) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 2845) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-10-30 |