| NPI | 1760421366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 2092) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 10798) |
| 106H00000X Marriage & Family Therapist (Licence: TX 767) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |