NPI | 1609269828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103TE1100X Psychologist Exercise & Sports | |
Enumeration Date | 2015-03-12 |
Last Update Date | 2019-07-31 |