NPI | 1639779143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13984296-6009) |
101YM0800X Counselor, Mental Health (Licence: CO LPCC.0022254) | |
Enumeration Date | 2020-10-26 |
Last Update Date | 2025-01-31 |