NPI | 1942670674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 13146) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 13146) |
Enumeration Date | 2015-10-07 |
Last Update Date | 2018-05-30 |