NPI | 1972274439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362009117) |
Enumeration Date | 2021-09-24 |
Last Update Date | 2025-03-12 |