| NPI | 1821646613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19526) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 19526) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 19526) | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 101Y00000X Counselor (Licence: TX 19526) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |