| 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 |