NPI | 1902150881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174H00000X Health Educator (Licence: CA 30808) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 30808) |
171M00000X Case Manager/Care Coordinator (Licence: CA 30808) | |
Enumeration Date | 2012-10-31 |
Last Update Date | 2025-04-25 |