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 |