| 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 |