| NPI | 1629702287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 849000) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 106H00000X Marriage & Family Therapist (Licence: TX 203859) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-09-20 |