| NPI | 1972995546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70468) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 70468) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 70468) | |
| 101YP1600X Counselor, Pastoral (Licence: TX 70468) | |
| 101YP2500X Counselor, Professional (Licence: TX 70468) | |
| 102L00000X Psychoanalyst (Licence: TX 70468) | |
| 103K00000X Behavior Analyst (Licence: TX 70468) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 70468) | |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |