NPI | 1295126704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA RA10170914) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA RA10170914) |
Enumeration Date | 2015-02-05 |
Last Update Date | 2019-09-06 |