NPI | 1083287155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM.0106153) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL CBHCM.0106153) | |
Enumeration Date | 2021-07-19 |
Last Update Date | 2025-05-03 |