| NPI | 1336134410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX 414379) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 1628) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 2292) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2008-08-28 |