| NPI | 1447879614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 342000000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-01-27 |