| NPI | 1598289779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74628) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13653) | |
| 101Y00000X Counselor (Licence: TX 74628) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 74628) | |
| 405300000X Prevention Professional (Licence: TX 74628) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-07-26 |