NPI | 1639645344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
374700000X Technician | |
Enumeration Date | 2018-10-19 |
Last Update Date | 2022-02-11 |