NPI | 1215422613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
106S00000X Behavior Technician | |
Enumeration Date | 2018-06-27 |
Last Update Date | 2023-08-03 |