NPI | 1063966653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 9566) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2018-05-31 |