| NPI | 1720454390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203272) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12070) |
| 101YM0800X Counselor, Mental Health (Licence: TX 77172) | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2025-10-23 |