| NPI | 1003417585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |