NPI | 1407187982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ND 5556106) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 2009034) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2010-01-22 |
Last Update Date | 2020-09-01 |