| NPI | 1851498778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 2270) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 1615) |
| 101YP2500X Counselor, Professional (Licence: TX 8696) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-06-18 |