| NPI | 1841621455 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 204094) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT3139) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-12-06 | 
| Last Update Date | 2024-08-01 |