| NPI | 1518043785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX LCDC 2828) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 16302) |
| 106H00000X Marriage & Family Therapist (Licence: TX LMFT 002871) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |