| NPI | 1073851010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12182) |
| 101YM0800X Counselor, Mental Health (Licence: TX 71080) | |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2020-09-09 |