NPI | 1740052240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X (Licence: LA 5710) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 5710) |
101Y00000X Counselor | |
Enumeration Date | 2023-10-27 |
Last Update Date | 2023-11-29 |