NPI | 1467823393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7164) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 7164) |
171M00000X Case Manager/Care Coordinator | |
101Y00000X Counselor (Licence: LA 7164) | |
Enumeration Date | 2015-10-19 |
Last Update Date | 2024-02-21 |