NPI | 1639601727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2018-07-15 |