| NPI | 1043588718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3182) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 84742) |
| 106H00000X Marriage & Family Therapist (Licence: LA 3182) | |
| 172V00000X Community Health Worker (Licence: TX 19390) | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health (Licence: TX 84742) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2025-07-16 |