| NPI | 1942571153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 9187) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 0831-0991) |
| 106H00000X Marriage & Family Therapist (Licence: TX 88) | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |