| NPI | 1558380519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 10419) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10419) |
| 101YM0800X Counselor, Mental Health (Licence: TX 10419) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 002988-041563) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-07-21 |