| NPI | 1306357520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 15173) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL 15173) |
| 273R00000X Psychiatric Unit (Licence: FL 15173) | |
| 283Q00000X Psychiatric Hospital (Licence: FL 15173) | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: FL 15173) | |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2018-03-17 |