| NPI | 1457027278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15883) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204040) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-28 |