| NPI | 1114809092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 17860) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2026-03-31 |