| NPI | 1285144659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 203087) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 14511) |
| 106H00000X Marriage & Family Therapist (Licence: TX 203087) | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2024-01-15 |