| NPI | 1174738652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 99057) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3592) |
| 101YM0800X Counselor, Mental Health (Licence: TX 09447) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 1353) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |