NPI | 1972072635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
251B00000X Case Management | |
Enumeration Date | 2018-11-24 |
Last Update Date | 2021-04-07 |