NPI | 1487118154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 9310) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 9310) |
Enumeration Date | 2019-01-28 |
Last Update Date | 2019-06-12 |