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 |