| NPI | 1427549542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75665) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 202905) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13782) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |