NPI | 1659079788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC9529) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC9529) |
171M00000X Case Manager/Care Coordinator (Licence: LA PLC9529) | |
Enumeration Date | 2023-02-17 |
Last Update Date | 2024-09-05 |