NPI | 1508204421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ND 750-5-15-13) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2013-06-13 |
Last Update Date | 2020-09-23 |