| NPI | 1184895062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4046) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 06246) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 281) | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2016-09-29 |