| NPI | 1962138610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 05494-0522) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 63702) |
| 171000000X Military Health Care Provider (Licence: TX 50572-1122) | |
| 101YP1600X Counselor, Pastoral | |
| 175T00000X Peer Specialist (Licence: TX 50572-1122) | |
| 405300000X Prevention Professional (Licence: TX 1595-1024) | |
| 171400000X Health & Wellness Coach (Licence: 17586) | |
| 251S00000X Community/Behavioral Health (Licence: TX 17586) | |
| 171W00000X Contractor | |
| 172V00000X Community Health Worker (Licence: TX 17586) | |
| 175T00000X Peer Specialist (Licence: TX 05494-0522) | |
| 261QC1500X Clinic/Center, Community Health (Licence: TX 17586) | |
| 174H00000X Health Educator (Licence: TX 1080) | |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 50190-0822) | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2025-11-05 |