| NPI | 1033690656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 89652) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional (Licence: TX 89652) | |
| 101YP2500X Counselor Professional (Licence: WY 2065) | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2024-04-08 |