| NPI | 1336760651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14068) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 14068) |
| 172V00000X Community Health Worker (Licence: TX 5381) | |
| 251B00000X Case Management (Licence: TX 14068) | |
| 251S00000X Community/Behavioral Health | |
| 405300000X Prevention Professional (Licence: TX 14068) | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-11-26 |