| NPI | 1710157821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV GF125401000) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NV GF125401000) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |