NPI | 1972611713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 004405-040806) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 6404) |
101YM0800X Counselor, Mental Health (Licence: TX 10158) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2025-09-11 |