| NPI | 1356044564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 10862) |
| Additional Taxonomies | 101200000X Drama Therapist |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-08-22 |