| NPI | 1154762219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2965) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 19548) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2023-04-27 |