| NPI | 1669763306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 101YM0800X Counselor, Mental Health (Licence: LA 5910) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 83432) | |
| 101YP2500X Counselor, Professional | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2025-06-23 |