| NPI | 1508886276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 62839) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201273) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10528) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-09-14 |