| NPI | 1811503543 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83256) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203944) | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14126) | |
| Enumeration Date | 2020-09-18 | 
| Last Update Date | 2025-10-07 |