NPI | 1720974314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TR0400X Psychologist, Rehabilitation | |
Enumeration Date | 2025-06-18 |
Last Update Date | 2025-06-18 |