NPI | 1528508777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-03-06 |
Last Update Date | 2023-04-19 |