| NPI | 1043828999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84166) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 84166) |
| 251B00000X Case Management (Licence: TX 84166) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2025-07-01 |