NPI | 1053160168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2024-05-13 |
Last Update Date | 2024-07-17 |