| NPI | 1972189199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15147) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203869) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-03-28 |