| NPI | 1821606997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79165) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 79165) |
| 251S00000X Community/Behavioral Health (Licence: TX 79165) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2026-07-09 |