NPI | 1396361002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC8857) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLC8857) |
Enumeration Date | 2020-06-18 |
Last Update Date | 2024-02-29 |