| NPI | 1265809792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202441) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 73688) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12920) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2016-12-02 |