| NPI | 1285971267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201745) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101200000X Drama Therapist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 133N00000X Nutritionist | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2022-04-14 |