NPI | 1861737652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178008409) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IL 178008409) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2012-12-05 |