| NPI | 1033621917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 90118) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: LA 7684) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2024-01-25 |