NPI | 1609390574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001537) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: GA MFT001537) |
172V00000X Community Health Worker (Licence: GA MFT001537) | |
Enumeration Date | 2017-08-01 |
Last Update Date | 2022-07-21 |