| NPI | 1124665328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 62461) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 62461) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 62461) | |
| 101YP2500X Counselor, Professional (Licence: TX 62461) | |
| 101YS0200X Counselor, School (Licence: TX 62461) | |
| 104100000X Social Worker (Licence: TX 62461) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 62461) | |
| 1041S0200X Social Worker, School (Licence: TX 62461) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 62461) | |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 62461) | |
| 172V00000X Community Health Worker (Licence: TX 62461) | |
| 251B00000X Case Management (Licence: TX 62461) | |
| 251S00000X (Licence: TX 62461) | |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |