NPI | 1003384249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA 7678) |
106H00000X Marriage & Family Therapist (Licence: LA 1364) | |
Enumeration Date | 2018-11-06 |
Last Update Date | 2019-12-20 |