NPI | 1407221831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL 103TR0400X) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: FL 103TR0400X) | |
103TR0400X Psychologist, Rehabilitation (Licence: FL 103TR0400X) | |
Enumeration Date | 2015-12-10 |
Last Update Date | 2023-03-02 |