| NPI | 1043480155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management (Licence: NV GF25401000) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |