| NPI | 1265773543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| 283Q00000X Psychiatric Hospital | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |