NPI | 1336703842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60959233) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60959233) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60959233) | |
Enumeration Date | 2019-04-30 |
Last Update Date | 2021-01-20 |