| NPI | 1215428974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203099) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15348) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-10-03 |