| NPI | 1285109595 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81814) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13721) | 
| 106H00000X Marriage & Family Therapist (Licence: TX 204504) | |
| Enumeration Date | 2018-10-12 | 
| Last Update Date | 2025-07-01 |