NPI | 1245839026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA 8429) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 8429) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2020-10-22 |
Last Update Date | 2023-09-26 |