NPI | 1649826520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB94027891) |
106S00000X Behavior Technician | |
172V00000X Community Health Worker | |
Enumeration Date | 2019-08-15 |
Last Update Date | 2024-07-25 |