| NPI | 1235855628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 100621) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 100621) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 100621) | |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 100621) | |
| 101YP2500X Counselor, Professional (Licence: TX 100621) | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2025-10-24 |