NPI | 1851643175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401013020) |
101YP2500X Counselor, Professional (Licence: MI 6401013020) | |
Enumeration Date | 2012-10-10 |
Last Update Date | 2024-05-30 |