NPI | 1730378829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 12668) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MD 12668) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2007-10-15 |