| NPI | 1508225160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 2016-3437-01) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-11-07 |