NPI | 1265056261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2020-06-04 |
Last Update Date | 2020-06-04 |