| NPI | 1679029136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55603) |
| 172V00000X Community Health Worker | |
| 251S00000X | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2023-09-26 |