| NPI | 1548360506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX LPC09632) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX AAC16931100) |
| 106H00000X Marriage & Family Therapist (Licence: TX LMFT000296042264) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-10-12 |