| NPI | 1679789648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203004) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1850) |
| 106H00000X Marriage & Family Therapist (Licence: AZ 15891) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 1199) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-05-16 |