| NPI | 1578076881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85212) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 85212) |
| 171M00000X Case Manager/Care Coordinator | |
| 101Y00000X Counselor (Licence: TX 85212) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2025-01-05 |