| NPI | 1013717933 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 17454) | 
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 33683) | 
| Enumeration Date | 2025-03-18 | 
| Last Update Date | 2025-03-18 |