NPI | 1497074371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 5360626 3904) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: UT 5360626-6006) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2016-09-20 |