NPI | 1205447828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2020-08-17 |
Last Update Date | 2023-05-07 |