| NPI | 1700307048 |
|---|---|
| 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 |
| 251B00000X Case Management | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |