NPI | 1376732669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PCI #258) |
Enumeration Date | 2007-10-23 |
Last Update Date | 2020-10-08 |