NPI | 1114536935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 251B00000X Case Management |
251S00000X Community/Behavioral Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2020-07-28 |
Last Update Date | 2025-05-29 |