NPI | 1508237215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6617) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 37526) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2015-10-08 |
Last Update Date | 2018-05-14 |