| NPI | 1689218570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82773) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 10294) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2024-09-04 |