NPI | 1730552753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 464581059) |
Enumeration Date | 2015-11-12 |
Last Update Date | 2018-11-27 |