| NPI | 1336022920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 62055) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: TX 62055) | |
| 101YP2500X Counselor, Professional (Licence: TX 62055) | |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-08-07 |