| NPI | 1003523390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95896) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 95896) |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health (Licence: TX 95896) | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2025-10-17 |