| NPI | 1326532474 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75571) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management (Licence: TX 75571) | |
| Enumeration Date | 2018-06-20 | 
| Last Update Date | 2024-09-07 |