NPI | 1063845501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 4452) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4452) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2021-07-09 |