NPI | 1376778308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4174) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10229) |
101YP2500X Counselor, Professional (Licence: TX 61935) | |
106H00000X Marriage & Family Therapist (Licence: TX 200947) | |
Enumeration Date | 2009-05-19 |
Last Update Date | 2009-05-19 |