NPI | 1528704053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 103TF0000X Psychologist, Family |
103TC2200X Psychologist, Clinical Child & Adolescent | |
174400000X Specialist | |
Enumeration Date | 2022-05-09 |
Last Update Date | 2022-05-09 |