| NPI | 1225352271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 10285) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 2516) |
| 106H00000X Marriage & Family Therapist (Licence: TX 2862) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |