NPI | 1679011324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MS 800024708) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor Mental Health | |
101YP1600X Counselor Pastoral | |
Enumeration Date | 2017-02-02 |
Last Update Date | 2020-11-13 |