| NPI | 1679663801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 6244) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 2488) |
| 104100000X Social Worker (Licence: TX 17830) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 002932042719) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-09-10 |