| NPI | 1396160321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69396) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201858) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11680) | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2019-12-11 |