| NPI | 1851564983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38536) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 63183) |
| 101YM0800X Counselor, Mental Health (Licence: TX 63183) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2022-07-23 |