| NPI | 1598882359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 3902) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 1815) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX 520122) | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2007-09-07 |