| NPI | 1225241672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-11-16 |