NPI | 1619669603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251B00000X Case Management (Licence: TX 15908) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: TX 15908) |
222Q00000X Developmental Therapist | |
251S00000X | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator (Licence: TX 15908) | |
Enumeration Date | 2023-05-25 |
Last Update Date | 2024-08-22 |