NPI | 1356691299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC00693) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006913) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2012-09-19 |
Last Update Date | 2012-09-19 |