NPI | 1760039101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH CDCA.170504) |
Enumeration Date | 2019-08-21 |
Last Update Date | 2024-04-22 |