| NPI | 1285393512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87514) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 627773) |
| 101YP2500X Counselor, Professional (Licence: TX 87514) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2023-10-20 |