| NPI | 1699446997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85976) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 85976) |
| 251B00000X Case Management | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 85976) | |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 85976) | |
| 101YP2500X Counselor, Professional (Licence: TX 85976) | |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2026-07-06 |