| NPI | 1811503543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83256) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14126) |
| 106H00000X Marriage & Family Therapist (Licence: TX 203944) | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2023-10-30 |