NPI | 1245010396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251B00000X Case Management | |
251S00000X Community/Behavioral Health | |
261QM0850X Clinic/Center, Adult Mental Health | |
385H00000X Respite Care | |
385H00000X Respite Care | |
Enumeration Date | 2023-10-04 |
Last Update Date | 2025-06-18 |