NPI | 1144692773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 13085) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2021-07-23 |