NPI | 1932646403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73080) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12613) |
106H00000X Marriage & Family Therapist (Licence: TX 202331) | |
Enumeration Date | 2017-01-23 |
Last Update Date | 2017-01-23 |