| NPI | 1548931462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2023-04-06 |