NPI | 1043531783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0200861) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2010-06-17 |
Last Update Date | 2020-07-08 |