| NPI | 1548724404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 13042) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13042) |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2025-10-31 |