| NPI | 1598059719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4362) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 5863) |
| 101YP2500X Counselor, Professional (Licence: TX 12182) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 4613) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 1177) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2015-12-04 |