| NPI | 1366118770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79026) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79026) |
| 251S00000X Community/Behavioral Health (Licence: TX 79026) | |
| 251B00000X Case Management (Licence: TX 79026) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2025-09-29 |