NPI | 1740080191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 77031) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-03-14 |
Last Update Date | 2025-03-14 |