NPI | 1518291889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: PA Bachelor Degree) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: PA Bachelors Degree) |
101Y00000X Counselor (Licence: PA Bachelor Degree) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA Bachelor Degree) | |
Enumeration Date | 2009-09-18 |
Last Update Date | 2009-10-10 |