| NPI | 1629268164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202928) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 7923) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 103870) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2020-10-23 |