| NPI | 1336622729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 85667) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 7137) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2022-05-18 |