| NPI | 1730702358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |