NPI | 1871231043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID 44052) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2022-05-26 |
Last Update Date | 2023-09-18 |