NPI | 1477010502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
171W00000X Contractor | |
174H00000X Health Educator | |
Enumeration Date | 2019-02-25 |
Last Update Date | 2019-02-28 |