NPI | 1861694945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4961) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 8299) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2024-09-09 |