NPI | 1700561693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2023-06-19 |
Last Update Date | 2023-11-15 |