NPI | 1235680620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8370) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CP5781-R) |
171M00000X Case Manager/Care Coordinator (Licence: LA PLC8370) | |
Enumeration Date | 2016-10-20 |
Last Update Date | 2025-04-18 |