NPI | 1912775503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 171W00000X Contractor |
251B00000X Case Management | |
Enumeration Date | 2023-12-13 |
Last Update Date | 2023-12-13 |