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 |