| NPI | 1669518528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201283) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10700) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT 2051) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-04-27 |