| NPI | 1588080477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 68600) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12072) |
| 106H00000X Marriage & Family Therapist (Licence: TX 201782) | |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2015-05-27 |