NPI | 1699466706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-05-18 |
Last Update Date | 2023-05-18 |