NPI | 1992255475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK J083576630) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK J083576630) |
Enumeration Date | 2016-10-10 |
Last Update Date | 2019-01-14 |