NPI | 1669042214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
106S00000X Behavior Technician | |
172V00000X Community Health Worker | |
Enumeration Date | 2021-06-27 |
Last Update Date | 2024-04-18 |