| NPI | 1942586508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78304) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 78304) |
| 251B00000X Case Management (Licence: TX 78304) | |
| 101YP2500X Counselor, Professional (Licence: NC 10203) | |
| 251S00000X Community/Behavioral Health (Licence: TX 78304) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2025-09-23 |