| NPI | 1750164794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-02-15 |