| NPI | 1629201207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 7690361-6004) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 7690361-6004) |
| 101YM0800X Counselor, Mental Health (Licence: UT 7690361-6004) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 7690361-6004) | |
| 101Y00000X Counselor (Licence: UT 7690381-6004) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2010-08-03 |