| NPI | 1508098054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 11988) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6467) |
| 106H00000X Marriage & Family Therapist (Licence: TX 3691) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |