NPI | 1407245046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
222Q00000X Developmental Therapist | |
Enumeration Date | 2015-01-20 |
Last Update Date | 2018-07-19 |