| NPI | 1821514415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70534) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 70534) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 70534) | |
| 251B00000X Case Management (Licence: TX 70534) | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2025-05-12 |