| NPI | 1821958976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: ID BA) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-12 |