NPI | 1922597780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
261QH0100X Clinic/Center, Health Services | |
261QM0801X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2018-05-08 |
Last Update Date | 2018-05-08 |