NPI | 1447812193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-07-02 |
Last Update Date | 2023-06-26 |