| NPI | 1104565944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 19037) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist (Licence: TX 1581-0322) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-08-17 |