| NPI | 1427400738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202316) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 202316) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 202316) | |
| 101YP2500X Counselor, Professional (Licence: TX 202316) | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-08-10 |