| NPI | 1730921321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 95370) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 95370) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 95370) | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2026-01-07 |